IndividualActive
Michael Bibbo, MS, LAT, ATC, CES
NPI 1225544018 · Athletic Trainer · Philadelphia, PA
Provider details
- NPI number
- 1225544018
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, LAT, ATC, CES
- Sex
- Male
- Sole proprietor
- No
- License
- RTO000092 (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2450 N 54th St
Philadelphia, PA 19131-1309
Phone: (610) 517-9043
Street-level locationGet directions
Mailing address
518 Spring Mill Ave
Conshohocken, PA 19428-1950
Registry dates
- Enumerated
- 2017-12-16
- Last updated
- 2017-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.